Cited 0 times in Scipus Cited Count

Associations between cold spells and hospital admission and mortality due to diabetes: A nationwide multi-region time-series study in Korea

DC Field Value Language
dc.contributor.authorKim, KN-
dc.contributor.authorLim, YH-
dc.contributor.authorBae, S-
dc.contributor.authorKim, JH-
dc.contributor.authorHwang, SS-
dc.contributor.authorKim, MJ-
dc.contributor.authorOh, J-
dc.contributor.authorLim, H-
dc.contributor.authorChoi, J-
dc.contributor.authorKwon, HJ-
dc.date.accessioned2023-03-24T06:26:59Z-
dc.date.available2023-03-24T06:26:59Z-
dc.date.issued2022-
dc.identifier.issn0048-9697-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/25110-
dc.description.abstractBACKGROUND: Climate change is predicted to increase the frequency, intensity, and duration of extreme cold events in the mid-latitudes. However, although diabetes is one of the most critical metabolic diseases due to its high and increasing prevalence worldwide, few studies have investigated the short-term association between cold exposure and diabetes-related outcomes. OBJECTIVE: The aim of this study was to investigate the associations between cold spells and their characteristics (intensity, duration, and seasonal timing) and hospital admission and mortality due to diabetes. METHODS: This study used claims data from the National Health Insurance Service and cause-specific mortality data from Statistics Korea (2010-2019). Cold spells were defined as >/=2 consecutive days with a daily mean temperature lower than the region-specific 5th percentile during the cold season (November-March). Quasi-Poisson regressions combined with distributed lag models were used to assess the associations between exposures and outcomes in 16 regions across the Republic of Korea. Meta-analyses were conducted to pool the region-specific estimates. RESULTS: Exposure to cold spells was associated with an increased risk of hospital admission [relative risk (RR) = 1.45, 95% confidence interval (CI): 1.26, 1.66] and mortality (RR = 2.02, 95% CI: 1.37, 2.99) due to diabetes. The association between cold spells and hospital admission due to diabetes was stronger for cold spells that were more intense, longer, and occurred later during the cold season. The association between cold spells and diabetes-related mortality was stronger for more intense and longer cold spells. CONCLUSION: This study emphasizes the importance of developing effective interventions against cold spells, including education on the dangers of cold spells and early alarm systems. Further studies are needed to create real-world interventions and evaluate their effectiveness in improving diabetes-related outcomes.-
dc.language.isoen-
dc.subject.MESHCold Temperature-
dc.subject.MESHDiabetes Mellitus-
dc.subject.MESHExtreme Cold Weather-
dc.subject.MESHHospitalization-
dc.subject.MESHHospitals-
dc.subject.MESHHumans-
dc.subject.MESHMortality-
dc.titleAssociations between cold spells and hospital admission and mortality due to diabetes: A nationwide multi-region time-series study in Korea-
dc.typeArticle-
dc.identifier.pmid35660607-
dc.subject.keywordCold duration-
dc.subject.keywordCold intensity-
dc.subject.keywordCold spell characteristics-
dc.subject.keywordDiabetes-related morbidity-
dc.subject.keywordDiabetes-related mortality-
dc.subject.keywordSeasonal timing-
dc.contributor.affiliatedAuthorKim, KN-
dc.type.localJournal Papers-
dc.identifier.doi10.1016/j.scitotenv.2022.156464-
dc.citation.titleThe Science of the total environment-
dc.citation.volume838-
dc.citation.numberPart 3-
dc.citation.date2022-
dc.citation.startPage156464-
dc.citation.endPage156464-
dc.identifier.bibliographicCitationThe Science of the total environment, 838(Part 3). : 156464-156464, 2022-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn1879-1026-
dc.relation.journalidJ000489697-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Preventive Medicine & Public Health
Files in This Item:
There are no files associated with this item.

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse